internal endocrine Level 2

Question 1

causes of primary Amenorrhea 5

Answer 1

1. pituitary problems: hypopituitarism, Kallmans sy
2. ovarian problems: Turners syndrom; PCOS
3. mayer-rokitansky-küster-hauser sy

Question 2

causes of secondary Amenorrhea (5)

Answer 2

1. pregnancy
2. menopause
3. hyperprolactemia
4. thyroid disease
5. chusings

Question 3

causes for osteoporosis 6

Answer 3

1. Menopause
2. glucocorticoid therapy
3. alkohol
4. hyperthyroidism
5. multiple myeloma
6. hyperparathyroidism

Question 4

how to determine hirsutism?

Answer 4

ferryman Galloway score
max 36 points
score of 8 = access androgens

Question 5

name a few long acting insulin analogues

Answer 5

Insulin Glargine

insulin Determir

Question 6

name hyperglycaemic emergencies

Answer 6

1. ketoacidosis
2. Hyperosmolar hyperglycaemia
3. Lactic acidosis

Question 7

explain ketoacidios

Answer 7

uncontrolled catabolism
high glucose production
high lipolyis= Keton bodies

Question 8

symptoms of ketoacidosis

Answer 8

1. hyperventilation (kussmaul)
2. nausea
3. vommiting
4. abdominal pain
5. coma

Question 9

how to treat ketoacidosis?

Answer 9

1. fluid replacement therapy
2. replace insulin
3. electrolytes and acidbace balance remaking

Question 10

explain hyperosmolar hyperglycaemia

Answer 10

severe hyperglycaemia without ketosis

in DMT2 px

Question 11

Different types of insulin’s used for tx

Answer 11

1. Rapid
2. Regular
3. NPH
4. Detemir
5. Glargine

Question 11

Explain when to uses which insulin

Answer 11

1. Rapid: pre meal
2. Regular: hospitalized patients
3. NPH normal patients twice a day

Question 12

Type 1 fredricson classification?

Answer 12

Familial Hyperchylomicronemia
High chylomicrons
Low LDL

Question 13

Type 2 a fredicson classification?

Answer 13

Familial hypercholesterolemia
Defect: LDL receptor
High LDL

Question 14

Type 2 b fredicson classification

Answer 14

Familial combined Hypercholesterolemia
Defect: LDL receptor and APO B
High LDL & VLDL

Question 15

Type 3 fredicson classification

Answer 15

Familial Dysbetalipoproteinemia

Increased IDL

Question 16

Type 4 fredicson classification

Answer 16

Familial hyperlipemia
Defect: high VLDL production
Increased VLDL

Question 17

Type 5 frederickson classification

Answer 17

Endogenous hypertriglycemia
Defect: high VLDL production
High VLDL + Chylomicrons